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PHASE1RECRUITING
View on ClinicalTrials.gov

Comparing 8 approaches for metastatic uveal melanoma

Official title: Study of IDE196 in Patients With Solid Tumors Harboring GNAQ/11 Mutations or PRKC Fusions

A Phase 1/2 Study of IDE196 in Patients With Solid Tumors Harboring GNAQ/11 Mutations or PRKC Fusions

Condition: Metastatic Uveal MelanomaSponsor: IDEAYA BiosciencesTarget enrollment: 336

Interventions

DRUG

IDE196

IDE196 dosed orally, twice daily for each 28-day cycle

DRUG

Binimetinib

Binimetinib dosed orally, twice daily for each 28-day cycle

DRUG

Crizotinib

Crizotinib dosed orally, twice daily for each 28-day cycle

Canadian Sites (1)

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

ACTIVE_NOT_RECRUITING

Eligibility Criteria

See who this study is looking for42 criteria

The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.

Inclusion

  • +Patient must be ≥18 years of age and able to provide written informed consentInformed consentThe process of being told what taking part involves, then choosing freely.Read more →
  • +Diagnosis of the following:
  • +o MUM: Uveal melanoma with histological or cytological confirmed metastatic disease. Metastatic disease may be treatment naïve or have progressed on or after most recent therapy. If the most recent therapy was an immune-oncology agent, PD must be confirmed.
  • +\- If a patient is treatment naïve and human leukocyte antigen (HLA)-A\*02:01 positive\*\*\*, documentation is required to provide rationale why treatment with tebentafusp is not the ideal firstline treatment approach or of the patient's intolerance to tebentafusp.
  • +\*\*\*To be enrolledEnrolmentThe number of participants a study plans to include, or has included.Read more → in the HLA-A\*02:01 positive cohortCohortA group of participants sharing a characteristic, followed together.Read more →, HLA status must be documented by test results from a CAP/CLIA-certified laboratory.
  • +Measurable disease per RECIST v1.1
  • +Eastern Cooperative Oncology Group ≤1 and expected life expectancy of \> 3 months
  • +Adequate organ function at screeningScreeningThe checks done before joining, to see whether a study fits.Read more →
  • +Crizotinib Combination Additional Inclusion CriteriaInclusion criteriaThe things you must have or be for a study to consider you.Read more →:
  • +Patients with preexisting peripheral neuropathy can be included if it is Grade 1 or lower, prior to initiation of crizotinib Biopsy-eligible patients
  • +Accessible lesion(s) that permit a total of at least two biopsies without unacceptable risk of a significant procedural complication.
  • +Adequate contraceptive measures for non-sterilized male and female patients of childbearing potential
  • +Prior chemotherapy other therapies as applicable or major surgeries must have been completed at least 4 weeks prior to initiation of crizotinib

Exclusion

  • For patients receiving IDE196 powder-in-capsule (PIC) formulation or crizotinib, allergy to mammalian meat products and gelatin
  • Any contraindication associated to the use of statins or hypersensitivity component of pravastatin
  • Known symptomatic brain metastases
  • Known acquired immunodeficiency syndrome (AIDS)-related illness, hepatitis B virus, or hepatitis C virus
  • Previous treatment with a PKC inhibitor
  • Known MSI-H/dMMR tumors who have not previously received immune checkpoint inhibitors
  • Adverse eventsAdverse eventAny medical problem that happens during a study, whether or not the treatment caused it.Read more → from prior anti-cancer therapy that have not resolved
  • Active infection requiring ongoing therapy
  • Prior gastrectomy or upper bowel removal or any other gastrointestinal disorder or defect
  • Impaired cardiac function
  • Treatment with prohibited medications that cannot be discontinued prior to study entry
  • Crizotinib Combination Additional Exclusion CriteriaExclusion criteriaThe things that would prevent someone from taking part.Read more →:
  • Prior therapy directly targeting ALK, MET, or ROS1
  • Spinal cord compression
  • History of pneumonitis or interstitial lung disease
  • History of syncope
  • History of thromboembolic or cerebrovascular events ≤12 weeks prior to first dose of study treatment
  • PKPharmacokineticsThe study of how the body absorbs, distributes, and clears a treatment.Read more → Substudy (optional) with Pravastatin Additional Exclusion Criteria:
  • Taken any dose of statin or inhibitor of organic anion transporting polypeptide within 7 days prior to enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more → in the study and cannot refrain from them through C2D1
  • Taken drugs that interfere with the absorption, metabolism, or elimination of pravastatin
  • Active liver disease
  • DDI Cocktail Substudy Additional Exclusion Criteria:
  • Treatment with bupropion, repaglinide, flurbiprofen, omeprazole, esomeprazole, midazolam, and dabigatran etexilate within 7 days prior to Cycle 1 Day -1.
  • Intake of vitamin supplements containing Vitamin B6 (pyridoxine), grapefruit/grapefruit juice, or Seville orange juice within 7 days prior to Cycle 1 Day -1.
  • Intake of any strong or moderate inhibitor of CYP2B6, CYP2CI, CYP2C9, CYP2C10 and OAT3 is prohibited within 7 days or within 5 half-lives, whichever is longer, of Cycle 1 Day -1.
  • Moderate and strong inhibitors of CYP2A4/5 or P-gp are prohibited within 7 days, or within 5 half-lives, whichever is longer, of Cycle 1 Day -1.
  • Intake of strong or moderate inducers of CYP3A4/5, CYP2B6, CYP2C9, CYP2C19, or OAT3 is prohibited during 15 days, or 5 half-lives, whichever is longer, prior to Cycle 1 Day -1.
  • Females who are pregnant or breastfeeding
  • Recent surgery or radiotherapy
5 concepts to explore on this page · up to 1,300 pointsTap any term to learn what it means.

In plain language

Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.

Learning 
What this study is

This study is testing a treatment for a condition.

Phase 1Phase 1The earliest stage of human testing, in a small group, focused on safety.Read more →/2 — a combined study that starts with early safety and continues into what the treatment does.

What is being given or done in this study: IDE196, Binimetinib, Crizotinib.

From the trial registry

Built from these fields:

  • designModule.designInfo.primaryPurpose
  • designModule.phases
  • armsInterventionsModule.interventions[].name
How the study is run

Groups are assigned by the study team using set rules, rather than by chance.

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

From the trial registry

Built from these fields:

  • designModule.designInfo.allocation
  • designModule.designInfo.maskingInfo.masking
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

There are 8 groups in this study.

From the trial registry

Built from this field:

  • armsInterventionsModule.armGroups[].type
Who the study is looking for

The study lists a minimum age of 18 years, with no upper limit given.

The study is open to people of any sex.

The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.

From the trial registry

Built from these fields:

  • eligibilityModule.minimumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How big and how long

The study aims to enrol about 336 people.

The study is currently expected to finish around June 2027.

The main measurement is taken over: 28 days following first dose of IDE196 as monotherapy, in combination with Binimetinib, or in combination with Crizotinib.

From the trial registry

Built from these fields:

  • designModule.enrollmentInfo.count
  • statusModule.completionDateStruct.date
  • outcomesModule.primaryOutcomes[].timeFrame
What the study measures

Dose-limiting Toxicity (DLT) — measured over 28 days following first dose of IDE196 as monotherapy, in combination with Binimetinib, or in combination with Crizotinib.

Incidence of Adverse EventsAdverse eventAny medical problem that happens during a study, whether or not the treatment caused it.Read more → — measured over Approx. 8 months.

Maximum Tolerated DoseMaximum tolerated doseThe highest amount that can be given before side effects become unacceptable.Read more → (MTD) — measured over 28 days following first dose of IDE196 as monotherapy, in combination with Binimetinib, or in combination with Crizotinib.

Recommended Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more → Dose (RP2D) as monotherapy, in combination with Binimetinib, or in combination with Crizotinib — measured over Approx. 6 months.

The study lists 5 further main measurements.

From the trial registry

Built from these fields:

  • outcomesModule.primaryOutcomes[].measure
  • outcomesModule.primaryOutcomes[].timeFrame

Source: NCT03947385 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.

Not medical advice. What do these terms mean?

What is being tested — in plain terms

About IDE196Drug

IDE196 dosed orally, twice daily for each 28-day cycle

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About BinimetinibDrug

Binimetinib dosed orally, twice daily for each 28-day cycle

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About CrizotinibDrug

Crizotinib dosed orally, twice daily for each 28-day cycle

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

Common questions

Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.

Am I eligible for this trial?

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.

What the study lists: a minimum age of 18 years.

The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.

The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.eligibilityCriteria
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry
  • armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

Groups are assigned by the study team using set rules, rather than by chance.

From the trial registry
  • designModule.designInfo.maskingInfo.masking
  • designModule.designInfo.allocation
Who can join?

The study lists a minimum age of 18 years, with no upper limit given.

It is open to people of any sex.

It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How long would this take?

The study's main measurement is taken over: 28 days following first dose of IDE196 as monotherapy, in combination with Binimetinib, or in combination with Crizotinib.

The study as a whole is currently expected to finish around 2027-06-15.

How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.

From the trial registry
  • outcomesModule.primaryOutcomes[].timeFrame
  • statusModule.completionDateStruct.date
How many people are taking part?

The study aims to enrol about 336 people.

From the trial registry
  • designModule.enrollmentInfo.count
Where is this happening?

This study lists 3 locations, including: Toronto, Ontario, Canada; Grand Rapids, Michigan, United States; New York, New York, United States.

Sites can open and close during a study, so confirm with the team before travelling.

From the trial registry
  • trial_locations

About This Trial

This is a Phase 1/2, multi-center, open-label basket study designed to evaluate the safety and anti-tumor activity of IDE196 in patients with solid tumors harboring GNAQ or GNA11 (GNAQ/11) mutations or PRKC fusions, including metastatic uveal melanoma (MUM), cutaneous melanoma, colorectal cancer, and other solid tumors. Phase 1 (dose escalation - monotherapy) will assess safety, tolerability and pharmacokinetics of IDE196 via standard dose escalation scheme and determine the recommended Phase 2 dose. Safety and anti-tumor activity will be assessed in the Phase 2 (dose expansion) part of the study. Phase 1 (dose escalation - binimetib combination) will assess safety, tolerability and pharmacokinetics of IDE196 and binimetinib via standard dose escalation scheme and determine the recommended Phase 2 dose. Safety and anti-tumor activity will be assessed in the Phase 2 (dose expansion) part of the study. Phase 1 (dose escalation - crizotinib combination) will assess safety, tolerability and pharmacokinetics of IDE196 and crizotinib via standard dose escalation scheme and determine the recommended Phase 2 dose. Safety and anti-tumor activity will be assessed in the Phase 2 (dose expansion) part of the study. Evaluation of safety and efficacy across multiple doses may be explored in the dose optimization part of the study. Crizotinib monotherapy with crossover to combination cohort may be assessed for safety and to show the contribution of each study drug to anti-tumor activity. As of Protocol Amendment 10, Phase 1, Phase 2 dose expansion in IDE196 monotherapy, and Phase 2 dose expansion of IDE196 in combination with binimetinib have been fully enrolled. There were no patients enrolled in the crizotinib monotherapy cohorts.

Other Sites (2)

Cancer Hematology Centers Western Michigan

Grand Rapids, Michigan, United States

Columbia University Medical Center - Herbert Irving Pavilion

New York, New York, United States

Worth passing on?

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Review the Care Package

This page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.